Membership Application

Thank you for your interest in becoming a member of CCSHRM! We welcome your participation and look forward to welcoming you as a new member. Membership is limited to exempt and non-exempt HR personnel and HR-related industry professionals.

Membership Tiers

$50 Annually with a National SHRM Membership: To receive discount, you must provide your SHRM membership number at the time of application. If Charlotte County SHRM (CCSHRM) is not your home chapter, please indicate home chapter on application.
$60 Annually without a National SHRM Membership
$30 Annually for Student Membership and Retiree Membership

This is a new Membership Application form. Renewals are asked to complete only the sections that are relevant to any changes since application on the Renewal Form. New members will be contacted with details via email. You are welcome to follow-up via email to our current membership chair at ccshrmmembership@gmail.com.

Applicant Name *

Company Name *

Company Address *

Work Number *

Work Fax *

Work E-mail *

Home Address *

Personal Email *

Total # of years in HR *

Job Title *

Function (i.e. coordinator, generalist, specialist; Risk, Labor Relations, Compensation, Recruiting) *

Business/Industry (i.e. private, public, non-profit) *

Number of employees in your company *

Professional Development Topics of Interest *

Number of employees in HR in your company *

Current Member of other local Chapter? (if yes, which one?) *

Former Charlotte County SHRM Member? (if yes, when?) *

Are you a SHRM national member? (if yes, please provide SHRM national primary email login address) *

Primary email used for SHRM *

Volunteerism Interest? *

Who may we thank for your application? *

Date Submitted *

Month

Day

Year

CAPTCHA

This question is for testing whether you are a human visitor and to prevent automated spam submissions.

Subscribe to the feed:

Membership Application

Membership

Charlotte County SHRM